Individual
KELSEY PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
720 N LINCOLN ST, GREENSBURG, IN 47240
(812) 593-1989
Mailing address
914 S FAIRWAY DR, GREENSBURG, IN 47240-7633
(812) 593-1989
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005581A
IN
Other
Enumeration date
09/25/2013
Last updated
06/18/2018
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